Health Expectations Program (HEP)

    The Health Expectation Program (HEP) was developed in partnership with the unions, especially for Clerical and Technical, Service and Maintenance, Security Staff, and their spouses. HEP is designed to provide you and your spouse important preventive services.

    Health coaches are available to support you, as needed, whenever serious or chronic conditions arise. The program’s mobile-friendly website provides an easy, secure way to track your progress.

    Participation in the HEP program’s recommended screenings and coaching is voluntary.

    How the Program Works

    Employees and spouses covered by Yale’s medical plans will receive a confidential, personal health profile that will help you and/or your spouse track the results from your health screenings, your progress in managing any chronic condition, recent medical services, and more.

    How to Participate

    • Follow your screening requirements. Regardless of your current health status, there are certain screenings that all adults should complete to help detect and prevent health issues before they arise. These standards are nationally recommended, and the screenings are available at no cost to you and your spouse.

    • Participate in the Yale Health Coaching Program. Yale has partnered with Trestle Tree to offer a voluntary coaching program for all HEP participants. Trestle Tree is an accredited health transformation organization working to enhance healthy behaviors of employees and their families through health coaching. Health coaching is a one-on-one interaction with a highly trained Health Coach conducted through conveniently scheduled appointments.

      Your Coach will work with you to develop actions and goals to drive positive behavior change, and will help you make an appropriate plan in conjunction with any doctor’s recommendations.

      HealthMine is an independent HIPAA-certified organization that will review your health status for potential health risks. If you are considered high or emerging risk, you may be invited to voluntarily participate in coaching. However, no information about you will be shared with Trestle Tree unless you elect to participate in coaching and share this information.

    Sample risk factors that may initiate a invitation to receive health coaching

    • Not obtaining recommended screenings based on age and/or non-adherence to treatment plans
    • Multiple chronic conditions
    • Blood work results
    • Hospital and Emergency Department utilization patterns

    If you and/or your spouse are identified as having one or more risk factors and have one of the conditions listed below, the HEP program may recommend coaching. The choice whether to attend coaching is yours.

    Conditions such as the following may encourage coaching

    • Chronic Obstructive Pulmonary Disease (COPD)
    • Diabetes
    • Heart Disease
    • Heart Failure
    • Hyperlipidemia
    • Hypertension

    Additional voluntary education programs including Live Well at Yale are also available to you.

    RECOMMENDED SCREENINGS/SERVICES AGE 21–29 30–39 40–49 50–64 65+

    Primary Care Visit with PCP

    Within 1 year of enrollment and within past 3 years

    Within 1 year of enrollment and within past 3 years

    Within 1 year of enrollment and within past 2 years

    Within 1 year of enrollment and within past 2 years

    Within 1 year of enrollment and within past 2 years

    Cholesterol Screening (Lipid)

    		    

    Lipid Panel within past 5 years

    Lipid Panel within past 5 years

    Lipid Panel within past 5 years

    Diabetes Screening (Glucose)

    		    

    Fasting blood glucose or hemoglobin A1C or glucose tolerance test within past 5 years

    Fasting blood glucose or hemoglobin A1C or glucose tolerance test within past 5 years

    Fasting blood glucose or hemoglobin A1C or glucose tolerance test within past 5 years

    Breast Cancer Screening
    (Mammogram)

    		      

    Within past 2 years

    Within past 2 years

    Cervical Cancer Screening (PAP Smear)

    Within past 3 years

    Within past 3 years without documented HPV negative status; Within past 5 years with documented HPV negative status

    Within past 3 years without documented HPV negative status; Within past 5 years with documented HPV negative status

    Within past 3 years without documented HPV negative status; Within past 5 years with documented HPV negative status

    		  

    Colorectal Cancer
    Screening

    		      

    Colonoscopy within the past 10 years, or a FIT/FOBT within the past one year

    Colonoscopy within the past 10 years, or a FIT/FOBT within the past one year

    Pneumococcal Vaccine

    		        

    At least once after age 65

    Note: Your clinician may recommend additional screening tests and medical interventions.

    Why Is Preventive Care So Important?

    • It helps you stay healthy and get more effective treatment. Many types of screenings can help identify health issues before they become more serious. Starting treatment or lifestyle changes before a condition goes beyond its early stages can help you stay healthier and recover more quickly.
    • You can save on medical expenses. Preventive care can help lower the long-term cost of managing a condition if you catch it early. Keep in mind that most preventive services are covered 100% by your medical plan, so you pay nothing.

    Track Your Progress

    The HEP portal, is a convenient way to track your status and mark your progress. For questions about your status or the program, you can contact the HEP dedicated call center at 844-253-1785. To learn more about the program, you can also talk with your union representative.

    Important note: Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), your personal health data will be private and protected, and will not be shared directly with Yale. HealthMine, a company that specializes in detecting and managing chronic illnesses, will obtain and analyze all results (supplying only an aggregate summary to Yale). Your health information will not be sold, exchanged, transferred, or otherwise disclosed except to the extent permitted by law to carry out specific activities related to the program, and you will not be asked or required to waive the confidentiality of your health information as a condition of participating in the program.

    YPBA Staff

    The HEP program is voluntary for YPBA staff and their covered spouses – no opt out fees will apply for non-participation or non-compliance.

    Your health plan is committed to helping you achieve your best health. If you have questions, or would like to explore an alternative option for one of the recommended diagnostic tests or services, contact HealthMine at 844-253-1785 to find out more information.